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When can a soother/pacifier/dummy be a good thing for a new baby?

4/19/2020

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Parents are often scared away from using a soother with their baby, due to images of seeing a toddler with the plug stoppering their mouth when they are out and about each day. They have concerns it is silencing the child, plus damaging their dentition (how their teeth are aligned) along with getting disapproving looks from well meaning adults around them. Using a soother from a young age may reduce the amount of milk a baby takes in each day and affect the amount of nutrition they receive right at the time they are growing the fastest.

These are all valid concerns. 

However, if you have a baby who is feeding well and gaining impressive weight each week, but is quite upset and spilling milk after each feed, they may benefit from a soother in the first few months. New mums are often concerned about milk supply and a baby latching well and sucking sure brings on more milk. Some mum’s have an excess of supply and a strong flow, so that when the baby suckles they receive a large amount of milk in a relatively short time. 

Combine an excess milk supply with a baby who really needs to suck to provide themselves comfort and you may have a problem which can be overlooked.
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Why do some babies need to suck to provide comfort?

Sucking helps allow the milk to move down through the digestion process, by stimulating the flow of saliva and downward contractions of the tube to the stomach. It also increases the rate of stomach emptying. This is helpful if your baby might have symptoms of acid reflux.

Some babies have a sore head and/or neck from birth - maybe caused by a long labour, especially if they get stuck for a while, the cervix is slow to open and the baby’s head can get affected/compressed in the birth canal. Then forceps or ventouse (suction) may be required to help the baby reposition and assist them out of the birth canal. This situation is much more common in first time mums and their babies.

Osteopathically what we may see is a baby with a headache. Of course the new baby is unable to tell us they have a headache, except by crying and being less settled than expected. This can be hard work for parents and they can feel upset that they are unable to provide comfort to their baby.
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How do we know the baby has a headache?  

Experienced paediatric osteopaths palpate thousands of heads each year, in all ages. We see the child who is four years old and able to point to an area of their head and say it hurts, the two year old who may be able to put a hand on their forehead and give a tired look. This gives us clues to what a headache feels like under our trained hands, in a non-verbal baby or child. Using our hands very gently we are able to palpate the strains in the membranes that surround the bones of the head in all ages and diagnose and very gently treat those strains, utilising the body’s self healing mechanism.

Without gentle osteopathic care, what is the baby with a headache going to do? They will want to suck more often as pressure on the hard palate, the roof of their mouth, can help (via the vertical vomer bone), to relieve the tightness in the membranes around the sphenoid bone, which sits across the front of the head, right behind the eyes.

If this situation of a sore head and excess sucking is combined with a mum with lots of milk, the baby may get so much milk that they will start vomiting up the excess. They want to suck to get pain relief, but don’t actually need extra milk. Then the use of a finger, turned upwards so the soft pad is available for the roof of the baby's mouth, will certainly help. Of course, parents do need a rest or to be hands free from the baby at times, so they can eat or have a shower. This is when the soother can be a helpful tool.

Research shows that babies under the age of 4-6 months are not able to be sleep trained, their nervous system is not able to form the memories required, so in the early months, I recommend parents do whatever they can to help their new baby’s nervous system be calm and happy. Babies need cuddles, milk and sleep, lots of it. You may have heard of the ‘fourth trimester’ - the stage where your baby would still be in your uterus if they could be, however they would be getting too big for the mum to move around or to birth. So instead, as parents you need to provide the snuggles, jiggles, warmth and a variety of white noises just like they would have had in your uterus, so your baby can be really relaxed and get enough sleep. ​
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Newborns generally need to sleep 16-20 hours in a 24 hour period. 

This fourth trimester is also where the soother can come in for some babies. If they seem happier and it helps them stop spilling milk, you can use the soother without any feelings of guilt. It won't affect their dentition at this age, they won't be a toddler with a soother in their mouth all day long, as you can get rid of the soother around the 4-6 months period. Each baby is individual in this regard and you will hopefully get an indication that they don’t need the soother as much - they may start to refuse it, they may spit it out at night and then want you to find it and put it back in. That would be a good time to remove it altogether. As your baby grows bigger and their digestive system develops, they will manage any excess milk better and will be able to learn to soothe themselves for their sleep.

I will just mention that sometimes paediatric osteopaths see toddlers or preschoolers who really want and need the soother due to tightness or pain in their head. I have heard mothers say they feel very guilty about letting the child have the soother at this older age, so they take the soother away, or only allow it in the cot or bed. However, if that young child actually needs the soother to help their head feel better, then it’s kind and necessary to let them have it as a temporary measure. Once a paediatric osteopath gently treats the toddler a few times and the strains in their head ease, they will no longer get the headaches nor need the soother. The child is able to grow without head pain, their dentition can be helped back to normal, there is no more stigma of having a soother as an older child and everyone is happier.
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​Melanie Young
B.A., BSc.(Clin Sc.) B.Osteo Sc. MONZ
Reg Osteopath
​Director City Osteopaths
Wellington
​New Zealand

​Phone 04 4991439

http://www.cityosteopaths.co.nz

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Gentle Osteopathic Treatment of new born babies at City Osteopaths

9/24/2017

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Registered Osteopath Aydan Hajyeva treating a new born baby.
Over the past twenty five years in New Zealand, the awareness of osteopathic treatment for babies has increased, however we are still often asked when to seek treatment for a baby. We also often see older children who could have benefited from treatment as a baby. We are keen that all babies and children who need help, receive it in a timely fashion.

This article is to inform parents when to seek osteopathic treatment for their baby and what to look for in an osteopath.

​A baby will often communicate there is a problem by being unsettled, irritable or wakeful.
​Symptoms in a newborn baby to be aware of are:
  • colic
  • excessive wind
  • continuous crying
  • difficulty feeding or a preference to feed from one breast
  • sticky eyes
  • sleeping difficulties
  • stiffness of the neck muscles
  • favouring the head to one side 
  • a misshapen head
  • tongue tie or jaw restriction
PictureRegistered Osteopath Melanie Young treating a young baby
What education do Osteopaths have?

Osteopaths train for forty hours per week for five years full-time at university and are required to competently pass well over one hundred exams and undergo clinical competency training and exams.

Osteopaths are government regulated and registered with the Osteopathic Council of New Zealand and must partake in ongoing professional education each year. We are also ACC treatment providers.

Osteopaths who treat babies and young children ought to have done extra post graduate study in addition to their undergraduate paediatric study.
​

Why would a newborn baby have anything wrong with them that is needing help by an osteopath?
A baby's passage through the birth canal is usually a difficult process however nature ensures that the bones of the skull are pliable enough to overlap to enable this to happen. Sometimes the bones do not return to their normal positions after delivery. This can happen if the labour is unusually long or fast, if there is a large baby passing through a small pelvis, if a baby has a large head or if intervention is necessary for example a forceps delivery or ventouse extraction. A baby may suffer a cranial base, neck, shoulder or back strain during the birth process. Pre-term babies may have strain from being out of the uterus too early and there is also likely to be alterations in nervous system function.

A Caesarian birth may involve trauma to the baby who is stuck in the mother's pelvis. Alternatively, problems can occur in utero if there is insufficient amniotic fluid.

Very often your midwife or lead maternity carer will refer you and your baby to see an osteopath for assessment and treatment, particularly if the birth has been difficult. We also work with Lactation consultants to help with feeding issues. This can include jaw and cranial base problems that may be affecting the baby's ability to latch, or to treat the tongue and surrounding structures in cases where a posterior tongue tie is affecting baby's function.

How soon should my baby see an Osteopath?
If there is nothing particularly troublesome going on for your baby then we recommend two weeks after the birth is a good time to have made an appointment as that gives you time to feel settled at home and also figure out how to get out of the house and travel with a new baby.
If the birth has been difficult or your baby is very upset and won't settle, then we recommend bringing them in to see a cranial osteopath as soon as possible.
​
What does the assessment and treatment look like?
First a medical history of the mother and baby is taken relating to the pregnancy and birth and any concerns you may have. Then your baby is gently assessed from their feet up to their head. Findings and treatment process are explained and then treatment will take place with your consent.
The treatment looks calming and is very gentle for your baby. If necessary we can treat your baby while they are being breast fed or sucking on a finger to help soothe them. Osteopaths use their hands to gently help the baby undo strains in the fascia (the connective tissues of the body), to help restore better alignment and function. We are also able to assist the autonomic nervous system of the body, calming the sympathetic and boosting the parasympathetic nervous system. This is very relaxing and helps the digestion to settle and ideally the whole body to be in self healing mode. Please note cranial osteopathy is not just to do with the head, any tissue in the body can be  treated with this gentle approach. Our clients find it is surprisingly effective.

Afterwards your baby may be more hungry than usual and be a bit unsettled or sleep for longer periods as their body works with the treatment to undo strains and find better alignment and health. 
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Ideally all pregnant mums would be assessed and treated at around 35 weeks pregnant to help balance up the pelvis and ready the connective tissues of the body for birth.
Research shows 
http://jaoa.org/article.aspx?articleid=2092759) that this results in a better birth with fewer interventions. This also means post birth we can see you for a one hour 'Mother and baby' check up together.

Some research:
Meta-analysis of research shows Osteopathic treatment reduces length of stay and costs in preterm infants. March 2017 insights.ovid.com/crossref?an=00005792-201703240-00043
Osteopathic treatment of children with cerebral palsyjaoa.org/article.aspx?articleid=2093549#72971939

Research evidence for cranial bone mobility:

http://www.icnr.com/articles/radiographic-evidence-of-cranial-bone-mobility.html
​
Research on cranial rhythmic impulse and the Traube-Hering-Mayer oscillation:
http://jaoa.org/article.aspx?articleid=2092406 
Research on measuring intracranial wave form pulsatility:
http://www.ncbi.nlm.nih.gov/pubmed/9779147
Pre-term-infants(Research:http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0127370 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648440/)
Research on treatment of colic http://​www.sciencedirect.com/science/article/pii/S1744388105001350
Research on plagiocephaly www.sciencedirect.com/science/article/pii/S174438811100020X
Research evidence on safety of Cranial Osteopathy: 
http://jaoa.org/article.aspx?articleid=2093194
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Thank you to the parents who have given us permission to use a photo of their baby.
For more information please see our website www.cityosteopaths.co.nz
For an appointment or if you have specific questions, one of our osteopaths can call you back on 04 4991439


Melanie Young 
B.A., B.App.Sc. (Clin.Sc.), B. Osteo.Sc. Reg. Osteopath, MONZ
Reg. Osteopath
Director City Osteopaths


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City Osteopaths article on osteopathic treatment before and during pregnancy - “supporting the change”

2/9/2017

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PictureOsteopaths love to help women through the process of fertility, pregnancy and birth
One of the most unique times in a woman’s life, pregnancy is quite a special state. Fortunately, many women have an easy, straightforward experience, but for those who don’t, osteopathic treatment can be very effective at easing discomfort and making this unique time enjoyable - the way it should be.

In an ideal world, every woman who is planning to become pregnant would have an osteopathic assessment and treatment in preparation for the journey ahead. This is particularly important if she has any musculoskeletal issues, be it lower back pain, neck and shoulders tension or pain, bad posture, or had a severe injury in the past (as for example, a past unresolved ankle sprain can alter walking patterns even slightly which may lead to tricky pelvic and spinal dysfunctions or restrictions that can interfere with the necessary postural adaptations in pregnancy and even labour). 
​​

PicturePain can crop up in pregnancy as your body is trying to adapt to major postural changes
​While particular attention should be directed towards the pelvis, osteopaths try to make sure the whole body is able to adapt efficiently to the incredible changes that happen on many levels during pregnancy. Some things we focus on pre-conception are improving blood flow and lymphatic circulation in the pelvis and abdomen. This is so important these days when most people spend hours sitting at their desks or in vehicles. Balancing the autonomic nervous system (which usually means reducing the effects of stress by calming the sympathetic nervous system) is another area that often needs help and can make for a very different experience once a woman becomes pregnant, for both herself and the baby.

While sorting out dysfunctions that can be dealt with pre-conception is ideal, treatment in pregnancy is very beneficial and often needed. Pregnancy is a very dynamic state where the body undergoes some profound changes in a relatively short space of time.



​​I will touch on a few of those below and mention briefly what osteopaths can do to help “support the change” or reduce discomfort if the changes are not happening as smoothly as they should:


1) Postural/mechanical changes: as the body’s centre of gravity shifts for obvious reasons, the posture changes dramatically. It is of vital importance to ensure that there are no major restrictions so the structure is able to adapt to new demands. One very important aspect is to ensure normal mobility of the sacrum so that it can move during labour thus making it easier for the baby to pass through the birth canal. But it’s not just about the pelvis. Chronic sitting in desk workers often leads to tension and sometimes constant pain in the shoulders/neck or between the shoulder blades. Not only is this uncomfortable and stressful, restrictions there would prevent a woman from achieving a deep squat with good form - which is one of the most useful exercises in pregnancy as well as a great position during labour that helps the baby descend. Having a mobile thoracic spine and ribcage also means you can breathe more efficiently getting more oxygen for yourself and the developing baby, have more energy and a clearer head! 


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Gentle Osteopathic treatment lying on the side to be most comfortable and safe.
With relaxin at play the ligaments soften and help the body adapt. Some osteopaths consider the increased secretion of relaxin a wonderful opportunity to work with old strain patterns as everything becomes so much more pliable, responsive and likely to change. However, sometimes this increased softening can contribute to strains and pains, especially in the pelvis, either at the back (sacroiliac joints) or in front (pubic symphysis). Having naturally looser joints (hypermobility) can make this more likely. In this situation gentle osteopathic techniques to balance the tension in the pelvic ligaments to allow the bones to find their natural position is very effective in most cases. Increased lower back curve (“swayback”) can lead to compression of the joints and soft tissues in the back and be quite uncomfortable but is also very amenable to osteopathic decompressive treatment.
It is important to realise that posture continues to change even after delivery - with new demands on the body such as feeding and carrying the baby, nappy changing etc. Gentle exercise such as yoga can help and osteopathic treatment (especially what we communicate to the joint position sensors) can be a useful adjunct, especially early on after giving birth when you should rest as much as possible (as a general rule, 6 weeks of no strenuous exercise after delivery).
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Feeding and carrying a baby for hours a day can be very tiring and hard work. We understand this and can help your body manage the stresses and strains.
2) In pregnancy there is a dramatic increase in the circulating blood volume. The expanding uterus may make venous drainage less efficient which can lead to congestive issues such as varicose veins in legs, vulval varicosities or haemorrhoids. Generalised fluid retention can also cause ankle swelling or carpal tunnel syndrome. Gentle rhythmic osteopathic techniques can assist drainage and reduce the discomfort of swelling.

​3) Changes in the digestive system: during pregnancy, constipation is a common issue and while the importance of a healthy diet (including adequate water intake) and regular movement such as walking, for example, cannot be underestimated, gentle manual treatment that helps balance the nerve supply to the gut can help too. With heartburn being another common problem, easing the pressure on the diaphragm and giving the internal organs more space by gently decompressing the spine, freeing up the lower ribcage and thoracic spine where the diaphragm attaches can make a significant difference.
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Osteopaths use their hands to diagnose and treat. Gently sorting out strains so your body can heal.
In summary, the aim of osteopathic treatment in pregnancy is to support and assist the expectant mother’s body in all the changes and adaptations it needs to go through to make the pregnancy and the delivery as easy as possible. It also creates the best conditions for the developing baby and the baby's passage through the birth canal - this is the ultimate preventative care!
​Our patients often describe a feeling of very deep relaxation during and after treatment, however there’s much more to it than just feeling nice. The more relaxed and well balanced you are, the more the powerful self healing “programme” inside your body is able to function optimally and that is very good for mums and their babies.
​
Some research on Osteopathic treatment in Pregnancy:
Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis.
www.ncbi.nlm.nih.gov/pubmed/25175885 
Acute improvement in hemodynamic control after osteopathic manipulative treatment in the third trimester of pregnancy. https://www.ncbi.nlm.nih.gov/pubmed/24280470
​
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​Aydan Hajiyeva Honours Diploma in General Medicine, DO M.Ost. Reg. Osteopath MONZ
Aydan has an Integrated Master’s Degree course from the European School of Osteopathy (UK).
Having previously completed six years medical doctor training, she really appreciates the holistic nature of the osteopathic approach. She has been exposed to a variety of treatment approaches at university, including classical, cranial and visceral osteopathy and has undertaken post graduate education, including biodynamics of osteopathy, primitive reflexes and pregnancy care, which have helped her develop her vision of osteopathy. Aydan regards osteopathy as a philosophy allowing her to create a positive change in a patient, by facilitating the expression of the inherent wisdom of the body.
www.cityosteopaths.co.nz 
​Phone 04 4991439

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Learn about your spine with Reg. Osteopath Lara Sanders

12/4/2016

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PictureFive lumbar vertebrae with discs, the sacrum and then the coccyx. All the bumpy bits are for muscle attachments. Note the nerves as they exit the intervertebral foramena/spaces
Ten Interesting Facts About Your Amazing Spine

1.      The bones of the spine are called vertebra, which comes from a Latin word meaning ‘to turn’.  The spine is so flexible that if it were removed from the body and bent, it could form two-thirds of a perfect circle!  Osteopaths are trained to find the areas of your spine that aren’t moving well, and get them moving again.
​

2.      Babies are born with 33 individual vertebrae, but adults only have 26.  This is because five bones fuse to form the sacrum which sits at the back of the pelvis, and three fuse to form the coccyx at the base of the spine.  Osteopathy offers a gentle and safe treatment for newborn babies to the elderly – at all stages of spinal fusion!
​

3.      The sacral vertebrae start to fuse in the teenage years, and are usually fused into a single bone by 30 years of age.  Heavy falls onto the backside throughout this period can set the scene for back pain in later life, so it’s worth getting them gently treated early on.
​

4.      The coccyx is the remnant of a vestigial tail which is most prominent in human embryos at 31 to 35 days old, hence the term ‘tailbone’.   The coccyx performs a very important role as the attachment site for our pelvic floor muscles (the ones we need to prevent incontinence).  Tailbone pain is relatively common, especially during and after pregnancy, and it can be treated osteopathically.

PictureThe curves of your spine combined with your discs are very important for shock absorption
5.      The first vertebra at the top of the spine is called the Atlas, named for Atlas from Greek mythology because it holds up the globe of the head.  The second vertebra is called the Axis, because it forms the pivot upon which the Atlas rotates.  Problems with the movement of these two bones are a common cause of headaches.  Osteopaths are trained to palpate the movement of these bones and gently restore normal function to reduce headaches.
​

6.      The spinal column has approximately 220 individual ligaments keeping the vertebrae interconnected and stable and over 100 joints, giving flexibility.  Osteopaths look at how the whole spine moves when making a diagnosis, and sometimes the painful area isn’t where the actual problem is.
​

7.      The curves in our spines are very important because they allow the spine to support ten times more weight than if it were straight.  That’s why proper lifting is so important – if you bend at the waist to pick up an object, you straighten out your lumbar curve and put your low back at risk of injury.  Low back pain is one of the most common reasons people see an osteopath.

8.      Between the vertebrae are cartilage discs which make up a quarter of the length of the spinal column.  As we age, the discs lose height and we become shorter, but old age is no excuse for back pain! Good postural habits and back care throughout life can keep you moving happily through life.  Many people choose to get regular osteopathic treatment with this goal in mind.




9.      The intervertebral discs are structured like a jelly donut, with a soft, jelly-like substance in the middle and a tough outer layer.  They act as shock absorbers in the spine.

Picture
This is a picture representing one vertebra, one intervertebral disc (in pink) and a cross section of the spinal cord showing spinal nerves as the exit/enter through the intervertebral space.
10.  The spinal cord, protected inside the vertebrae, begins at the base of the skull and continues down to approximately waist level - it doesn’t continue down the length of the entire spine.  Instead it turns into the cauda equina – Latin for ‘horse’s tail’ – because the bundle of nerves at the base of the spine resembles the tail of a horse. 

​Osteopaths  have an excellent understanding of the spinal nerves and their role in back pain and can help in the management of nerve-related pain.
Picture
Lara Sanders 
M.Ost., B.App.Sc.(Human Biol.),
Reg. Osteopath, MONZ




www.cityosteopaths.co.nz
Phone 04 4991439 for an appointment

​

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Wellington Osteopath with 'Magic Hands'

9/12/2016

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Sebastian Tucker B.A.(Hons), B.Sc. (Hons) Ost. Reg. Osteopath, MONZ

Sebastian graduated from the European School of Osteopathy in the U.K. in 2006. Before coming to New Zealand in 2011 to join City Osteopaths, he worked in Liverpool and London advancing his cranial, visceral and pediatric osteopathy skills.  He has completed courses in advanced osteopathic technique.  He has assisted in teaching Paediatric care to post graduate osteopaths. Prior to studying Osteopathy he graduated with a degree in Theology.

Sebastian has spent time in Kenya treating orphaned children in the city and women and children of the Pokot tribe in the desert region.  He enjoys working with people of all ages and conditions from babies to the elderly.  He has particular skill in treating shoulder injuries and providing pre- and post-natal care for mothers and newborns.

With over ten years in full time Osteopathic practice, Sebastian has developed a gentle approach, easing back the layers of problems and compensations in his patients in order to reach and change the root cause of their condition whether that originates from stressors in the physical, mental or emotional.

"I have had long term back and shoulder pain. This has been totally fixed by my osteopath Sebastian in the last three weeks. A great change to my life and lifestyle.  Recommend the practice (City Osteopaths) to anyone." T.Lynch

"I have been having seeing Sebastian for the last few months, after suffering from neck, shoulder pain and stiffness and lower back stiffness and discomfort. Most of the pain and stiffness I was experiencing has disappeared and my overall posture has improved significantly. Sebastian has also recommended targeted exercises and magnesium and vitamin B all to assist with my overall recovery".
M. Mallet


"I have been seeing Sebastian, and I was a little skeptical initially. However he has helped mobilise my back and pelvis to a point I have never had so much movement in my life. He has been so kind and supportive in every way possible and made me feel comfortable at all times. I have urged so many others to book in and see him". 

Sarah, Wellington​
When you have had enough of being in pain and would like gentle treatment to help you feel better, call our lovely front desk staff on 04 4991439 to make an appointment or have Sebastian call you back or for more information please see our website www.cityosteopaths.co.nz
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